,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #bdgg  ,,in ,,the ,,house ,,of  
,,representatives  ,may #b1 #bjai,mr4   
,ruiz 7for himself1 ,mrs4 ,walorski1    
,mr4 ,schneider1 and ,mr4 ,bilirakis7   
introduced the following bill2 which was
 referred to the ,committee on ,ways and
 ,means1 and in addition to the         
,committee on ,energy and ,commerce1 for
 a period to be subsequently determined 
by the ,speaker1 in each case for       
consideration of such provisions as fall
 within the jurisdiction of the         
committee concerned  ,a ,,bill  ,to     
amend title ,,xviii of the ,social      
,security ,act to establish a system to 
notify individuals approaching ,medicare
 eligibility1 to simplify and modernize 
the eligibility enrollment process1 and 
for other purposes4  #a4 ,short title   
,this ,act may be cited as the          
,beneficiary ,enrollment ,notification  
and ,eligibility ,simplification ,act of
 #bjai or the ,,benes ,act of #bjai4    
#b4 ,beneficiary enrollment notification

 and eligibility simplification  7a7    
,eligibility and enrollment notices     
7#a7 ,as part of ,social ,security      
account statement for individuals age   
#fj to #fe ,section #aadc7;a7 of the    
,social ,security ,act 7#db ,u4,s4,c4   
#acbj;b-#ac7;a77 is amended by adding at
 the end the following new paragraph3   
7#d7 ,medicare eligibility information  
7,a7 ,in general ,in the case of        
statements provided on or after the date
 that is #b years after the date of the 
enactment of this ,act to individuals   
who have attained #fj years of age but  
have not attained #fe years of age1 the 
statement shall also include a notice   
containing the information described in 
subparagraph 7,b74  7,b7 ,contents of   
notice ,the notice required under       
subparagraph 7,a7 shall contain         
information on 7including a clear1      
simple explanation of7--  7i7           
eligibility for benefits under the      
,medicare program under title ,,xviii1  
and in particular benefits under part ,b

 of such title2  7ii7 the possibility of
 a late enrollment penalty for failure  
to timely enroll 7including the process 
for requesting relief under section     
#ahcg7;h7 in plain language72  7iii7 the
 need for coordination of benefits under
 such part ,b 7including primary and    
secondary coverage scenarios7 imposed   
under title ,,xviii2 and  7iv7          
populations1 such as veterans1 for whom 
there are special considerations with   
respect to enrollment under this title4 
7,c7 ,development of notice  7i7 ,in    
general ,the ,secretary1 in consultation
 with representatives of each of the    
groups described in subparagraph        
7,d77i71 and in coordination with the   
,commissioner of ,social ,security1     
shall develop the notice to be provided 
pursuant to subparagraph 7,a74  7ii7    
,notice improvement ,the ,secretary1 not
 less than once every two years1 shall--
 7,i7 review the content of the notice  
to be provided under subparagraph 7,a72 
and  7,,ii7 update and revise such      

notice as the ,secretary deems          
appropriate4  7,d7 ,groups for          
consultation  7i7 ,in general ,for      
purposes of subparagraph 7,c71 the      
groups described in this clause include 
the following3  7,i7 ,individuals who   
are more than #fj years of age4  7,,ii7 
,veterans4  7,,iii7 ,individuals with   
disabilities4  7,,iv7 ,individuals with 
end stage renal disease4  7,v7          
,low-income individuals and families4   
7,,vi7 ,employers 7including human      
resources professionals74  7,,vii7      
,states 7including representatives of   
,state-run ,health ,insurance           
,exchanges1 ,medicaid offices1 and      
,departments of ,insurance74  7,,viii7  
,state ,health ,insurance ,assistance   
,programs4  7,,ix7 ,health insurers4    
7,x7 ,health insurance agents and       
brokers4  7,,xi7 ,such other groups as  
specified by the ,secretary4  7ii7      
,nonapplication of ,,faca ,the ,federal 
,advisory ,committee ,act shall not     
apply to consultations made pursuant to 

subparagraph 7,c7 with groups described 
in clause 7i74  7,e7 ,posting of notice 
on websites ,the ,commissioner of       
,social ,security and the ,secretary    
shall each ensure that the notice being 
used under subparagraph 7,a7 is posted  
in a prominent location on their        
respective ,department ,internet        
website4  4  7#b7 ,individuals in       
,medicare waiting period ,title ,,xi of 
the ,social ,security ,act is amended by
 inserting after section #aadd the      
following new section3  #aadd;,a4       
,medicare ,enrollment ,notification and 
,eligibility ,notices for ,individuals  
in ,medicare ,waiting ,period  7a7      
,notices  7#a7 ,in general ,the         
,commissioner of ,social ,security1 in  
coordination with the ,secretary1 shall 
distribute the notice developed and used
 by the ,commissioner under section     
#aadc7;a77#d7 to individuals in the     
,medicare waiting period under section  
#bbf7;b7 of this ,act4  7#b7 ,authority 
to modify notice ,the ,secretary1 in    

coordination with the ,commissioner of  
,social ,security1 may modify the notice
 to be distributed under paragraph 7#a7 
as necessary to take into account the   
population receiving the notice4  7#c7  
,posting of notice on websites ,the     
,commissioner of ,social ,security and  
the ,secretary shall each ensure that   
the notice being distributed under      
paragraph 7#a7 is posted in a prominent 
location on their respective ,department
 ,internet website4  7b7 ,timing        
,beginning two years after the date of  
the enactment of this section1 a notice 
required under subsection 7a77#a7 shall 
be mailed to an individual no less than 
two times in accordance with the        
following3  7#a7 ,the notice shall be   
provided to such individual no later    
than #c months prior to the date of such
 individual's enrollment period as      
provided under section #ahcg4  7#b7 ,the
 notice shall subsequently be provided  
to such individual no later than one    
month prior to such date4  4  7b7       

,beneficiary ,medicare part ,b          
enrollment periods and effective date of
 coverage  7#a7 ,effective dates        
,section #ahch7;a7 of the ,social       
,security ,act 7#db ,u4,s4,c4 #acieq7a77
 is amended-- 7,a7 by amending paragraph
 7#b7 to read as follows3  7#b7  7,a7 in
 the case of an individual who enrolls  
pursuant to subsection 7d7 of section   
#ahcg before the month in which he first
 satisfies paragraph 7#a7 or 7#b7 of    
section #ahcf1 the first day of such    
month2  7,b7 in the case of an          
individual not described in subparagraph
 7,a7 who first satisfies such paragraph
 in a month beginning before ,january   
#bjba and who enrolls--  7i7 pursuant to
 such subsection 7d7 in such month in   
which he first satisfies such paragraph1
 the first day of the month following   
the month in which he so enrolls2  7ii7 
pursuant to such subsection 7d7 in the  
month following such month in which he  
first satisfies such paragraph1 the     
first day of the second month following 

the month in which he so enrolls2 or    
7iii7 pursuant to such subsection 7d7   
more than one month following such month
 in which he satisfies such paragraph1  
the first day of the third month        
following the month in which he so      
enrolls2  7,c7 in the case of an        
individual not described in subparagraph
 7,a7 who first satisfies such paragraph
 in a month beginning on or after       
,january #a1 #bjba1 and who enrolls     
pursuant to such subsection 7d7 in such 
month in which he first satisfies such  
paragraph or in any subsequent month of 
his initial enrollment period1 the first
 day of the month following the month in
 which he so enrolls2  7,d7 in the case 
of an individual not described in       
subparagraph 7,a7 who enrolls pursuant  
to subsection 7e7 of section #ahcg in a 
month beginning before ,october #ae1    
#bjbj1 the ,july #a following the month 
in which he so enrolls2 or  7,e7 in the 
case of an individual not described in  
subparagraph 7,a7 who enrolls pursuant  

to subsection 7e7 of section #ahcg in a 
month beginning on or after ,october    
#ae1 #bjbj1 the first day of the month  
following the month in which he so      
enrolls4  2 and  7,b7 by amending       
paragraph 7#c7 to read as follows3  7#c7
 7,a7 in the case of an individual who  
is deemed to have enrolled on or before 
the last day of the third month of his  
initial enrollment period1 the first day
 of the month in which he first meets   
the applicable requirements of section  
#ahcf or ,july #a1 #aigc1 whichever is  
later2  7,b7 in the case of an          
individual who is deemed to have        
enrolled on or after the first day of   
the fourth month of his initial         
enrollment period beginning before      
,january #a1 #bjba1 as prescribed under 
subparagraphs 7,b77i71 7,b77ii71        
7,b77iii71 and 7,d7 of paragraph 7#b7 of
 this subsection2 or  7,c7 in the case  
of an individual who is deemed to have  
enrolled on or after the first day of   
the fourth month of his initial         

enrollment period beginning on or after 
,january #a1 #bjba1 as prescribed under 
paragraph 7#b77;,c7 of this subsection4 
4  7#b7 ,general and special enrollment 
periods ,section #ahcg7;e7 of the       
,social ,security ,act 7#db ,u4,s4,c4   
#aciep7e77 is amended to read as        
follows3  7e7 ,enrollment periods  7#a7 
,for coverage during years before #bjbb 
,there shall be a general enrollment    
period during the period beginning on   
,january #a and ending on ,march #ca of 
each year before #bjbb4  7#b7 ,for      
coverage during years beginning with    
#bjbb ,for coverage during years        
beginning with #bjbb and each subsequent
 year1 there shall be a general         
enrollment period beginning on ,october 
#ae of the previous year through        
,december #ca of such previous year4    
7#c7 ,exceptional circumstances ,the    
,secretary may establish a special      
enrollment period in the case that an   
individual meets such exceptional       
conditions as the ,secretary may        

provide4  4  7#c7 ,technical correction 
7,a7 ,in general ,section #ahci7;b7 of  
the ,social ,security ,act 7#db         
,u4,s4,c4 #acier7b77 is amended by      
striking close of the enrollment period 
each place it appears and inserting     
close of the month4  7,b7 ,effective    
date ,the amendment made by subparagraph
 7,a7 shall take effect on ,november #a1
 #bjba4